Effect of electric stimulation combined with Ai salt bag on shoulder-hand syndrome after cerebral infarction
10.3760/cma.j.issn.1008-6706.2020.04.004
- VernacularTitle:艾盐包热敷联合电刺激治疗脑梗死后肩手综合征的效果研究
- Author:
Qiao LI
1
;
Yang YU
;
Chen LIU
;
Xiaoling XU
Author Information
1. 浙江省
- Keywords:
Infarction,middle cerebral artery;
Reflex sympathetic dystrophy;
Pain;
Edema;
Electric stimulation therapy;
Artemisia;
Moxibustion
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(4):398-402
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of electric stimulation combined with Ai salt bag on shoulderhand syndrome after cerebral infarction.Methods A total of 188 patients with shoulder-hand syndrome after cerebral infarction admitted to Taizhou Central Hospital from September 2015 to August 2018 were enrolled in the study,they were randomly divided into study group (n =94) and control group (n =94) according to the random number table method.The control group was given uplink electrical stimulation treatment based on the conventional treatment for cerebral infarction and rehabilitation training,the study group was given Ai salt bag treatment on the basis of the control group.The clinical treatment effect,pain and edema VAS score,Fugl-Meyer motor function score and ADL score were observed and compared between the two groups.Results After 28 days of treatment,the total effective rate was 88.30％ (83/94) in the study group and 76.60％ (72/94) in the control group,the difference between the two groups was statistically significant (x2 =4.447,P ＜ 0.05).The VAS score of edema degree and pain degree in the study group decreased from (4.13 ± 1.40) points,(3.43 ± 2.20) points to (1.70 ± 1.36) points,(1.52 ±1.22) points,which in the control group decreased from (4.10 ± 1.46) points,(3.40 ± 2.17) points to (2.79 ±1.58) points,(2.52 ± 1.18) points,there were statistically significant differences between the two groups after treatment (t1 =5.712,t2 =5.069,all P ＜ 0.05).The Fugl-Meyer motor function score and ADL score of the study group increased from (19.91 ± 13.32) points,(42.34 ± 15.57)points to (54.21 ± 11.71) points,(86.02 ±16.62)points,which in the control group increased from (20.74 ± 11.30) points,(45.84 ± 14.44) points to(45.44 ± 12.61) points,(78.84 ± 17.79)points,there were statistically significant differences between the two groups after treatment (t1 =4.941,t2 =2.859,all P ＜ 0.05).Conclusion Electrical stimulation combined with Ai salt bag in the treatment of shoulder-hand syndrome after cerebral infarction has significant clinical effect,which can effectively alleviate the pain symptoms and swelling of the affected limb,promote the activities of daily living and improve the function of the affected limb,and is worthy of clinical application.
